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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(03): 320-325
DOI: 10.1055/s-0040-1709198
Artigos Originais
Joelho

Functional Outcome of Patients Undergoing Knee Arthrodesis after Infected Total Arthroplasty[∗]

Article in several languages: português | English
Thiago Vivacqua 
1   Instituto Nacional de Traumatologia e Ortopedia Jamill Haddad, Rio de Janeiro, RJ, Brasil
,
Rui Moraes
1   Instituto Nacional de Traumatologia e Ortopedia Jamill Haddad, Rio de Janeiro, RJ, Brasil
,
João Barretto
1   Instituto Nacional de Traumatologia e Ortopedia Jamill Haddad, Rio de Janeiro, RJ, Brasil
,
Naasson Cavanelas
1   Instituto Nacional de Traumatologia e Ortopedia Jamill Haddad, Rio de Janeiro, RJ, Brasil
,
Rodrigo Albuquerque
1   Instituto Nacional de Traumatologia e Ortopedia Jamill Haddad, Rio de Janeiro, RJ, Brasil
,
Alan Mozella
1   Instituto Nacional de Traumatologia e Ortopedia Jamill Haddad, Rio de Janeiro, RJ, Brasil
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Abstract

Objective Retrospectively assess the functional outcome of patients undergoing arthrodesis after septic failure of total knee arthroplasty.

Methods Eighteen patients were evaluated, with a mean time of 3.7 years of follow-up. Arthrodesis surgery was performed using a narrow anterior dynamic compression plate, and medial or external fixator in two planes of the joint (Orthofix Bone Growth Therapy, Lewisville, TS, USA), at the surgeon's discretion.

Results The most frequent pathogen found was Staphylococcus aureus methicillin sensitive (38.9%). The mean lower limb discrepancy was 3.63 cm. The mean knee society score was 68 points. According to the visual analog scale for pain, 44% of the patients had a 0 score at the time of assessment, and 22.2% were very dissatisfied, despite the bone healing achieved. Patients were assessed for the ability to walk with or without assistance.

Conclusion Knee arthrodesis surgery was effective in controlling the infectious process and decreasing pain complaints, but satisfaction with the procedure was low.

Keywords

arthrodesis - knee - arthroplasty, replacement, knee - infection

∗ Work developed at the Instituto Nacional de Traumatologia e Ortopedia Jamill Haddad, Rio de Janeiro, RJ, Brazil.


Financial Support

There was no financial support from public, commercial, or non-profit sources.




Publication History

Received: 23 October 2019

Accepted: 27 January 2020

Article published online:
10 June 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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